A5056833912- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- Opioid Use Disorder Treatment
- Homelessness and Social Issues
- Substance Abuse Treatment and Outcomes
- Obesity, Physical Activity, Diet
- Food Security and Health in Diverse Populations
- Emergency and Acute Care Studies
- Adolescent Sexual and Reproductive Health
- LGBTQ Health, Identity, and Policy
- HIV/AIDS Impact and Responses
- Palliative Care and End-of-Life Issues
- Mobile Health and mHealth Applications
- Cardiac Arrest and Resuscitation
- Patient Dignity and Privacy
- Suicide and Self-Harm Studies
- Data-Driven Disease Surveillance
- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- Global Public Health Policies and Epidemiology
- Forensic Toxicology and Drug Analysis
- Cruise Tourism Development and Management
- Racial and Ethnic Identity Research
- COVID-19 epidemiological studies
Johns Hopkins University
2016-2025
Griffith University
2024
Sidney Kimmel Comprehensive Cancer Center
2017
Canberra (United Kingdom)
2014-2016
University of Maryland, Baltimore
2013
Institutes for Behavior Resources
2013
Multnomah County Health Department
1998-2008
Oregon Department of Human Services
2007-2008
Oregon Health Authority
2001
Indiana University
1999
The opioid crisis remains a major public health issue in the US and beyond. Despite rapid rises fentanyl-related mortality nationally, little is known about role of fentanyl occurrence non-fatal overdose among people who use drugs. We examined prevalence perceived exposure syringe services program (SSP) clients modeled correlates overdose. Data were drawn from cross-sectional survey 203 SSP Baltimore, MD recruited 2016. Logistic regression models used to identify experiencing past 12 months....
To optimize health care utilization, outcomes, and costs, research is needed to improve an understanding of frequent users emergency services. Frequent use services associated with high costs may be indicative challenges accessing, or poor outcomes of, care. Patient demographics factors related the medical (EMS) system a midsized city were identified. Study findings will aid in development targeted interventions population health. The authors reviewed 9-1-1 call dispatch data Baltimore City...
Background. Opioid (including prescription opiate) abuse and overdose rates in the United States have surged past decade. The dearth limitations of opioid surveillance systems impede development interventions to address this epidemic. Objective. We explored evidence support validity emergency medical services (EMS) data on naloxone administration as a possible proxy for estimating incidence overdose. Methods. reviewed from Baltimore City Fire Department EMS patient records matched with...
In Baltimore, MD, as in many cities throughout the USA, overdose rates are on rise due to both increase of prescription opioid abuse and that fentanyl other synthetic opioids drug market. Supervised injection facilities (SIFs) a widely implemented public health intervention world, with 97 existing 11 countries worldwide. Research has documented health, social, economic benefits SIFs, yet none exist USA. The purpose this study is model financial costs hypothetical SIF Baltimore. We estimate...
Delivering and receiving prompt medical care during an overdose are imperative to ensure survival. Good Samaritan laws encourage people call 911 by providing immunity from selected drug arrests (eg, low-level possession). However, it is unclear whether persons who inject drugs (PWID) aware of understand these their implications. We examined awareness among PWID the 2015 law in Maryland beliefs about they could be arrested for calling or having overdose.
Abstract Background and aims People who inject drugs (PWID) are at risk for adverse outcomes across multiple dimensions. While evidence‐based interventions available, services often fragmented difficult to access. We measured the effectiveness of an integrated care van (ICV) that offered PWID. Design, setting participants This was a cluster‐randomized trial, which took place in Baltimore, MD, USA. Prior randomization, we used research recruit PWID cohorts from 12 Baltimore neighborhoods...
As people with HIV age, prevention and management of other communicable non-communicable diseases (NCDs) will become increasingly important. Integration screening treatment for NCDs is a promising approach addressing the dual burden these diseases. The aim this study was to assess epidemiological impact cost-effectiveness community-wide integrated programme HIV, hypertension diabetes in Kenya.Coupling microsimulation cardiovascular (CVDs) population-based model dynamics (the Spectrum), we...
Establish costs of an inpatient palliative care unit (PCU) and conduct a threshold analysis to estimate the maximum possible for PCU be considered cost effective.
Abstract Background The coronavirus pandemic (COVID-19) exacerbated risks for adverse health consequences among people who inject drugs by reducing access to sterile injection equipment, HIV testing, and syringe services programs (SSPs). Several decades of research demonstrate the public benefits SSP implementation; however, existing evidence primarily reflects studies conducted in metropolitan areas before COVID-19 pandemic. Objectives We aim explore how affected operations rural Kentucky...